A nurse is caring for a client.
Complete the following sentence by using the list of options.
The first two actions the nurse should take are
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Place the client in a private room (Option 1): Given the positive test results for tuberculosis (TB) exposure, placing the client in a private room is crucial for infection control. This helps prevent the spread of TB, which is a highly contagious disease, to other patients and healthcare staff. Isolation is a standard precaution for patients suspected of having active TB.
Apply supplemental oxygen (Option 2): The client's oxygen saturation is low at 88% on room air, indicating hypoxemia. Administering supplemental oxygen is essential to improve the patient's oxygen levels, ensure adequate tissue perfusion, and address any respiratory distress the patient may be experiencing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. In the three-point gait, weight is borne on the unaffected leg while the client moves the crutches and the affected leg together.
B. Crutches should be positioned a few inches in front and to the side of each foot to maintain balance and prevent falls.
C. Holding the arms straight can cause strain; a slight bend at the elbows is ideal.
D. Crutches should not be at the axillae level to prevent nerve damage. There should be a 1–2 inch gap below the armpit.
Correct Answer is ["B","E"]
Explanation
A. Squeezing the client’s finger should be avoided as it can cause hemolysis and affect the accuracy of the blood sample.
B. Pricking the side of the client’s finger is recommended as it tends to be less painful and reduces tissue damage.
C. Elevating the hand above the heart level could reduce blood flow, making it more difficult to obtain a sample.
D. An alcohol swab, not iodine, is typically used to cleanse the site for a capillary blood draw, as iodine can interfere with certain lab results.
E. Applying clean gloves is a standard precaution to prevent contamination and protect both the nurse and the client.
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